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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
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<br />The.undersigned understands that this perlit lay be sublect io "deed restrlcti~ns" which may bc D~re restr1ctive than City
<br />rvgulatlons. The undersigned assules responsibilitf;for..colpllance with any applicable deed restrictions.
<br />. .., . .
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
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<br />If the ONner has hired a contractor .~r contractors to undertake work, .they lay be required to be licensed in accordance with
<br />state and local regulations. . If the contractor Is not licensed as required by I~w, both the OHner and contractor lay be
<br />cited for a misdeaeanor violation under state laK., If the owner or intended contractor are uncertain as to what licensing
<br />requirelents aay apply for the intended Hork, they are advised to contact the City of Zephyrhills Building Departlent, (913)
<br />788-6611.
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<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor!sl sign portions of the
<br />"Contractor Sections" of this application for which they Hill be responsible. If you, as the ~wner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the Horr.. If the contractor wishes you to sign
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the
<br />City of Zephyrhills.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
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<br />D.
<br />
<br />CONSTRUCTION LIEN LAW
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<br />(CHAPTER 713~ FLORIDA STATUTES, AS AMENDED>
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<br />I certify that I, the applicant, have been provided Kith a copy of "Florida's Construction Lien Law - Hoaeowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOle6ne other than the
<br />"owner", I certify that I have [obtained a. cripy of the above described dCocullent ..nd prc'~lisc in good fai th to deliver it to the
<br />.6Mner. prior to c61Iencel~nt.
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<br />-'1,":":.' '" .:.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
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<br />I certify that all the inf6rlation in this application is accurate and that all ~~rk will be done in compliance with all
<br />applicable laws regulating construction, zoning, and land developDent.
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<br />Application is hereby Dade to obtain a perlit to' do work and install~tion as indicated. I certify that n6 work or
<br />installati~n has cOI!enced prior to issuance of a perlit and that all work will be performed to ~eet standards of all laMS
<br />regulating construction, City codes, zoning regulations, an~ land developm~nt requl..tions in the jurisdiction. I also
<br />certify that I understand that the regulations of other governmental agencies ~..y apply" to th~ intended work, and that it is
<br />IY responsibility to identify what actions I must tar.e to be in cOlI\pliance. Such aqE?ncies include bill ~\e IIcot liaited to:
<br />
<br />'"
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<br />I Departle~t of Envir~nlental Renul;tion - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Ldnds,
<br />Water/Wastewater Treatment
<br />. SouthNest Florida Hater" Manaqell\ent District - Wells; Cypress Bayheads, Wetl..nd Areas, Altering Hatercourses
<br />I Ar.y Corps ~f Enqineers - Seawalls, Dotks, Navigable Waterways
<br />f Departlent of Heallh L Rehabilitative Services. Environmental Health Unit - Hells, \j..stE?water Treat~en~. Septic Tanks
<br />f US Environaental Protection Aqenty - Asbestos abatement
<br />
<br />1 also certif"1 that, if fill latedal is to be used in Flc,od Zc,ne "A" clr 'A,etc.', it is undHslC,(.d \1131 a drainage plan
<br />addressing a 'coapensating volute" will be sublitted which is prepared by a profession..1 enqincer reqisl~red in lhe state of
<br />Florida prior to perlit issuance.
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<br />A perlit issued shall be construed to be a license to proce~d with the work ..nd n~t as aulhority to yiol~te, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prE?venl lhe Building Offici.1 fro. thereafter
<br />requiring a correction of errors in plans; construction, or violations of any codE? Every per~il issll~d ~hal1 becOle invalid
<br />unless the Hc,rk authc,rized by such penit is c[ouenced Hithin six months of issuancc, (,r if 11('1 f; ~lI\1lr"I,ed bt the perait is
<br />suspended or abandoned for a period of six lonths after the t;~e the "ork is co~menrcd. One 90 day e:le~sipll of tile, lay be
<br />all~wed for the perll\it with fee charge of $15.00. The extension shall be requested in Hriting l~ the ~uilding Official. An
<br />approved inspectic,n r.aust be lc,gged during each six tonth period, or the prcojed ~i 11 be cc,nsidered i1bal,dc.ned.
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<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
<br />RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU
<br />INTEND TO OBTAIN" FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
<br />BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
<br />DO'NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
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<br />. ~ SIGNATURE__e~O-W-N--ER~-]OR"~ A-G~E' -N-T--~-~--. ---- SIGNATURE"~'-:f-.-'AbJ-&.';~
<br />:ENT-------7 ,1("0"''; pers ,,^,..jllJ.'R~O~ "-~.
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<br />DATE___~__t~_~L~~f~----------_.------- DATE_l~~~------------------------
<br />/")
<br />NOTARY AS TO,/, .../ ,. ',1 j"~) '-//!\... NOTARY A T~ /2 / ,,~
<br />OWNER OR AGEN-t L<< tL {f)"?C/'!.t tv~~
<br />-NOTARy-,.mlrn:;-""""- "__,- CONTRACT~R_ 0 ""-------- -- ---------
<br />MY COMlvHSSION EXPIRES: .18,1995. Dawn E. Woodwaru ee!Jr?oo9Z-
<br />MY COMMISSION E~~~~~~T~~~~~~~__~~~~~~-- MY COMMISSION EXPIRES__________________
<br />,~OTARY PUBLIC, STATE OF FLORIDA
<br />MY COMMISSION EXPIRES: Jan. 25, 1995.
<br />BONDED THRU NOTARY PUBLIC UNDERWRITERS.
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